Cited by 322Psychotherapy Techniques and ApplicationsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Treatment and Access

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Treatment expectancies, patient alliance, and outcome: further analyses from the national institute of mental health treatment of depression collaborative research program

Meyer, Bjorn, Pilkonis, Paul A., Krupnick, Janice L., Egan, Matthew K., Simmens, Samuel J., Sotsky, Stuart M.·2002·Journal of Consulting and Clinical Psychology

DOI 10.1037/0022-006x.70.4.1051

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Abstract

Prior analyses from the National Institute of Mental Health Treatment of Depression Collaborative Research Program indicated that patients' expectancies of treatment effectiveness (S. M. Sotsky et al., 1991) and the quality of the therapeutic alliance (J. L. Krupnick et al., 1996) predicted clinical improvement. These data were reanalyzed to examine the hypothesis that the link between treatment expectancies and outcome would be mediated by patients' contribution to the alliance. Among 151 patients who completed treatment, this hypothesis was supported, suggesting that patients who expect treatment to be effective tend to engage more constructively in session, which helps bring about symptom reduction. Therapists' expectancies for patient improvement also predicted outcome, although this association was not mediated by the alliance. None of the expectancy scales interacted with alliance ratings in the prediction of clinical improvement.

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Feder, M. M., & Diamond, G. M. (2015) · Journal of Family Therapy · doi:10.1111/1467-6427.12078 · Cited by 28
Severity of borderline personality disorder symptoms as a moderator of the association between the use of dialectical behaviour therapy skills and treatment outcomes
Seow, L. L. Y., Page, A. C., & Hooke, G. R. (2020) · Psychotherapy Research · doi:10.1080/10503307.2020.1720931 · Cited by 27
“For example, Meyer et al. (2002) found that patients who expected treatment to be effective were more likely to engage constructively in sessions, which resulted in symptom improvement.”
Background
Treatment expectancy, working alliance, and outcome of Trauma-Focused Cognitive Behavioral Therapy with children and adolescents
Kirsch, V., Keller, F., Tutus, D., & Goldbeck, L. (2018) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-018-0223-6 · Cited by 36
“Our results are partly consistent with the well-known pathway from TE over working alliance to treatment outcome in adults [50].”
Predictors of outcome in guided self-help cognitive behavioural therapy for common mental disorders in primary care
Salomonsson, S., Santoft, F., Lindsäter, E., Ejeby, K., Ingvar, M., Öst, L.-G., Lekander, M., Ljótsson, B., & Hedman-Lagerlöf, E. (2020) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2019.1669701 · Cited by 20
“Treatment-related predictors and variables have been of increased focus in research, and aspects such as credibility and adherence have been associated with positive treatment outcome (Brandenburg, 2017; Hedman et al., 2012; Meyer et al., 2002; Simon & Perlis, 2010).”
Background
Die Therapeutische Allianz
Hentschel, U. (2005) · Psychotherapeut · doi:10.1007/s00278-005-0440-3 · Cited by 18
Patient perfectionism and clinician impression formation during an initial interview.
Hewitt, P., Chen, C., Smith, M. M., Zhang, L. C., Habke, M., Flett, G., & Mikail, S. (2020) · Psychology and psychotherapy · doi:10.1111/papt.12266 · Cited by 19
“Specifically, clinicians who expected treatment to be more effective and those who were more motivated to work with their patients generally had better therapy outcomes (Joyce & Piper, 1998; Meyer et al., 2002).”
Background
An Investigation of a Cultural Help-Seeking Model for Professional Psychological Services With U.S. and Chinese Samples
Song, X., Anderson, T., Himawan, L., Mcclintock, A. S., Jiang, Y., & McCarrick, S. M. (2019) · Journal of Cross-Cultural Psychology · doi:10.1177/0022022119878506 · Cited by 19
The Parent Participation Engagement Measure (PPEM): Reliability and Validity in Child and Adolescent Community Mental Health Services
Haine-Schlagel, R., Roesch, S., Trask, E., Fawley-King, K., Ganger, W., & Aarons, G. A. (2016) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-015-0698-x · Cited by 19
“…mental health treatment has long been considered a critical component of effective and efficient service delivery, and poor engagement is associated with poorer clinical outcomes (e.g., Baydar et al. 2003; Braswell et al. 1985; Gorin 1993; McMurran et al. 2010; Meyer et al. 2002; Nye et al. 1999).”
Effectiveness of a group-based program for parents of children with dyslexia
Multhauf, B., Buschmann, A., & Soellner, R. (2016) · Reading and Writing · doi:10.1007/s11145-016-9632-1 · Cited by 18
“High expectations of participants in intervention programs correlate with their effectiveness (Meyer et al., 2002).”
Background
What is important in being cured from: Does discordance between physicians and patients matter? (2)
Demyttenaere, K., Donneau, A., Albert, A., Ansseau, M., Constant, E., & van Heeringen, K. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.12.002 · Cited by 21
Goal Achievement and Goal-Related Cognitions in Behavioral Activation Treatment for Depression
Knittle, K. P., Gellert, P. R., Moore, C., Bourke, N., & Hull, V. (2019) · Behavior Therapy · doi:10.1016/j.beth.2019.01.005 · Cited by 51
The Therapeutic Alliance: Research and Theory
Castonguay, L., Constantino, M., Boswell, J. F., & Kraus, D. (2012) · doi:10.1002/9781118001868.ch29 · Cited by 17
Introduction to Integrative Primary Care: The Health-Oriented Clinic
Fortney, L., Rakel, D., Rindfleisch, J. A., & Mallory, J. (2010) · Primary Care Clinics in Office Practice · doi:10.1016/j.pop.2009.09.003 · Cited by 16
Barriers to treating depression in the family physician's office.
Miedema, B., Tatemichi, S., Thomas-Maclean, R., & Stoppard, J. (2004) · Canadian Journal of Community Mental Health / Revue Canadienne de Santé Mentale Communautaire · doi:10.7870/cjcmh-2004-0003 · Cited by 17
Therapeutic Alliance and Outcomes in Children and Adolescents Served in a Community Mental Health Setting
Abrishami, G. F. (2013) · Journal of Child and Adolescent Behaviour · doi:10.4172/2375-4494.1000110 · Cited by 16
Working alliance as a mediator and moderator between expectations for counseling success and counseling outcome among Korean clients
Yoo, S., Hong, S., Sohn, N., & O’Brien, K. M. (2014) · Asia Pacific Education Review · doi:10.1007/s12564-014-9320-2 · Cited by 14
“, Bohart and Tallman 2010), and client’s expectations of treatment effectiveness are one of the powerful predictors of counseling outcomes across samples and treatments (Constantino et al. 2012; Meyer et al. 2002).”
Background
Thin Slice Ratings of Client Characteristics in Intake Assessments: Predicting Symptom Change and Dropout in Cognitive Therapy for Depression
Sasso, K. E., & Strunk, D. R. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.04.007 · Cited by 15
“…as depressed clients’ perceived logicalness of therapy, therapeutic expectations, and orientation to change have been found to predict subsequent treatment outcomes (Carter et al., 2011; Lewis, Simons, & Kim, 2012; Meyer et al., 2002) and dropout (Callahan, Aubuchon-Endsley, Borja, & Swift, 2009).”
Background
L’alliance thérapeutique en psychothérapie : apports de la recherche empirique
Rodgers, R. F., Cailhol, L., Bui, E., Klein, R., Schmitt, L., & Chabrol, H. (2010) · L Encéphale · doi:10.1016/j.encep.2010.02.005 · Cited by 15
Treatment expectancy for anxiety change and response to cognitive behavioral therapy for OCD
Vorstenbosch, V., & Laposa, J. M. (2015) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2015.02.003 · Cited by 14
Treatment Modalities and Perceived Effectiveness of Treatment Among Adults With Depression
Alang, S., & McAlpine, D. D. (2020) · Health Services Insights · doi:10.1177/1178632920918288 · Cited by 17
Can Low-Cost Strategies Improve Attendance Rates in Brief Psychological Therapy? Double-Blind Randomized Controlled Trial.
Delgadillo, J., Moreea, O., Murphy, E., Ali, S., & Swift, J. (2015) · Journal of Clinical Psychology · doi:10.1002/jclp.22228 · Cited by 14
Women and Men With Mental Illnesses
Scheyett, A., & McCarthy, E. M. (2006) · Affilia · doi:10.1177/0886109906292114 · Cited by 25
“…therapy factors, such as warmth, respect, genuineness, and the provision of hope, may be the most important component in effective therapy (Chatoor & Krupnick, 2001; Duncan, Miller, & Sparks, 2004; Krupnick et al., 1996; Luborsky, McLellan, Woody, O’Brien, & Auerbach, 1985; Meyer et al., 2002).”
Background
Recommendations for the Deprescribing of Psychotropic Medications
Goldberg, J. F., McIntyre, R. S., Swartz, H. A., Freeman, M. P., Mago, R., Citrome, L., Rosenblat, J. D., Thase, M. E., Tohen, M. F., Vieta, E., et al. (2026) · JAMA Network Open · doi:10.1001/jamanetworkopen.2026.0043 · Cited by 15
Slowed Processing Speed Disrupts Patient Expectancy in Late Life Depression
Rutherford, B. R., Choi, C. J., Choi, J., Mass, B., He, X., O'Boyle, K., Sneed, J., Brown, P. J., Brickman, A., Wall, M., et al. (2020) · The American journal of geriatric psychiatry · doi:10.1016/j.jagp.2020.11.001 · Cited by 13

Authors: Meyer, B., Pilkonis, P. A., Krupnick, J. L., Egan, M. K., Simmens, S. J., & Sotsky, S. M.
Affiliations: Georgetown University (US)
George Washington University (US)
ORCID: Pilkonis, Paul A.
Simmens, Samuel J.
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 2002
Volume: 70
Issue: 4
Pages: 1051-1055
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/0022-006x.70.4.1051
OpenAlex: W1977873119
Cited by: 322
References: 0
Citations by year: 2026: 8 · 2025: 10 · 2024: 3 · 2023: 12 · 2022: 5 · 2021: 13 · 2020: 18 · 2019: 14 · 2018: 12 · 2017: 11 · 2016: 21 · 2015: 20 · 2014: 19 · 2013: 20 · 2012: 22
FWCI: 12.81
Type: journal article
Language: en
Open access: closed
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords: treatment expectancy, therapeutic relationship, depression, treatment outcomes, mediation, patient engagement, psychotherapy
MeSH terms: Adult, Attitude to Health, Major Depressive Disorder, Female, Humans, Male, Mental Health Services, Middle Aged, Patient Compliance, Professional-Patient Relations, Treatment Outcome

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Treatment expectancies, patient alliance, and outcome: further analyses from the national institute of mental health treatment of depression collaborative research program

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